When it is time for a patient's third round of chemotherapy for colon cancer, the patient's white blood cell count is low and the treatment is delayed. The patient is upset at this delay. What is the nurse's best response?
a. "This extra time will give your hair a chance to grow back in."
b. "This is for the best. You are too weak to receive chemotherapy now."
c. "I will call the physician and request a prescription for something to calm your nerves."
d. "Try not to worry. Your counts will probably be high enough next week and the chemotherapy will work just as well then."
D
Many patients are concerned that a delay of chemotherapy will mean that they are missing a treatment and that cancer cells will overgrow. Delayed treatments are not missed treatments, and 1 week's additional growth time for colon cancer is not significant.
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Which of the following best describes how having health insurance has affected lifestyle behaviors?
a. Health promotion disease prevention programs are attended because they are reimbursable. b. Health education is widespread, because insurance companies promote such education. c. Medications and medical treatment are relied on for cure. d. Screening is widespread because of insurance sponsorship.
A patient is admitted with suspected acute hepatic failure. Which findings would the nurse evaluate as supporting this suspected diagnosis?
1. The patient complains of thirst. 2. The patient has a dry cough. 3. The patient's hemoglobin is elevated. 4. The patient's international normalized ratio (INR) is elevated. 5. The patient has new onset of confusion.
An older patient has fallen twice in the hospital in the last 2 days. What action by the nurse is best?
a. Request restraint orders from the provider. b. Assess the patient for undiagnosed illness. c. Remind the patient to call for help getting up. d. Have a family member stay with the pa-tient.
A nurse is teaching parents of preschoolers appropriate safety measures for this age group. Which of the following might be a focus of the teaching plan?
A) Childproofing the house B) Smoking cessation C) Fire safety D) Gun safety